Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10400 | Date 09/12/2021 |
| Token No | SM/21-22/7608 09/12/2021 | Serial | 023 Last Visit: 09/12/2021 |
| Patient Name | Mrs. SAMSA BIBI | Contact No | 9339017160 |
| Address | 36 MUSHALMAN PARA SERAMPORE | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||